A Safety, Tolerability, Pharmacokinetic and Efficacy Study of Azithromycin Plus Piperaquine as Presumptive Treatment in Pregnant PNG Women

NCT ID: NCT02575755

Last Updated: 2015-10-15

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

PHASE4

Total Enrollment

150 participants

Study Classification

INTERVENTIONAL

Study Start Date

2012-10-31

Study Completion Date

2016-10-31

Brief Summary

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Plasmodium falciparum parasitaemia in pregnancy is associated with maternal anaemia, low birth-weight and increased perinatal mortality. Whilst continuous prophylaxis is difficult to implement, intermittent presumptive treatment in pregnancy (IPTp) has proved to be practical and effective. In PNG, pregnant women currently receive IPTp using sulfadoxine-pyrimethamine, however, this therapy has the potential to be compromised by parasite resistance.

The aim of the present trial is to assess the safety, tolerability, pharmacokinetics and efficacy of azithromycin (AZI) plus piperaquine (PQ) given as IPTp to pregnant Papua New Guinea women. The study will comprise of two sub-studies:

(i) A safety, tolerability and pharmacokinetic study of AZI-PQ in pregnancy. (ii) A safety, tolerability and preliminary efficacy study of AZI-PQ in pregnancy.

Detailed Description

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Conditions

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Pregnancy Infections, Plasmodia Drug Kinetics Clinical Efficacy

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

NONE

Study Groups

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Efficacy Study: Azithromycin plus piperaquine

At baseline, participants receive three daily doses (0, 24 and 48 hours) of i) 1 g azithromycin as 2 x film-coated 500 mg tablets ii) 960 mg piperaquine tetraphosphate tablets as 3 x 320 mg tablets

Group Type EXPERIMENTAL

Azithromycin plus piperaquine phosphate

Intervention Type DRUG

Efficacy Study Control: National Standard Treatment

At baseline, participants receive a single dose of sulfadoxine-pyrimethamine comprising 1,500 mg of sulfadoxine and 75 mg pyrimethamine in tablet form

Group Type ACTIVE_COMPARATOR

Sulfadoxine-pyrimethamine

Intervention Type DRUG

Pharmacokinetic Study: Azithromycin plus piperaquine

At baseline, participants receive three daily doses (0, 24 and 48 hours) of i) 1 g azithromycin as 2 x film-coated 500 mg tablets ii) 960 mg piperaquine tetraphosphate tablets as 3 x 320 mg tablets

Group Type EXPERIMENTAL

Azithromycin plus piperaquine phosphate

Intervention Type DRUG

Interventions

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Azithromycin plus piperaquine phosphate

Intervention Type DRUG

Sulfadoxine-pyrimethamine

Intervention Type DRUG

Other Intervention Names

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Sandoz Azithromycin Sigma-Tau Piperaquine tetraphosphate

Eligibility Criteria

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Inclusion Criteria

* \>14 weeks and \<30 weeks gestation
* No signs of severe malaria by World Health Organisation criteria
* No significant concomitant disease (such as TB)
* No prior history of an adverse reaction to AZI or PQP
* No prior treatment with these drugs in the past 4 weeks
* Can attend all follow-up visits
* Provide informed consent

Exclusion Criteria

* Have signs of severe malaria by WHO criteria
* Significant concomitant disease such as TB as assessed by the attending clinician
* A history/family history of sudden death or of congenital prolongation of the QTc interval
* Any clinical condition known to prolong the QTc interval
* A history of complicated pregnancies/deliveries
* A prior history of an adverse reaction to AZI or PQP
* Have taken these drugs in the past 4 weeks
* Cannot attend any of the follow-up visits
* Do not provide informed consent
Minimum Eligible Age

18 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

Yes

Sponsors

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The University of Western Australia

OTHER

Sponsor Role collaborator

University of Melbourne

OTHER

Sponsor Role collaborator

Malaria in Pregnancy Consortium

OTHER

Sponsor Role collaborator

Papua New Guinea Institute of Medical Research

OTHER_GOV

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Papua New Guinea Institute of Medical Research

Madang, Madang Province, Papua New Guinea

Site Status RECRUITING

Countries

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Papua New Guinea

Central Contacts

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Timothy ME Davis, BMedSc MBBS DPhil FRACP MRCP

Role: CONTACT

(+618) 9431 3229

Brioni R Moore, BSc, PhD

Role: CONTACT

(+618) 6151 1172

Facility Contacts

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Brioni R Moore, BSc, PhD

Role: primary

(+61) 0466266334

Leanne J Robinson, BSc, PhD, MPH

Role: backup

(+675) 422 2909

Other Identifiers

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MRAC10.53

Identifier Type: -

Identifier Source: org_study_id

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